Individual provider Active NPI

James William Cooksy, LICSW, LADC-I

  • Clinical Social Worker
  • Amherst, MA
National Provider Identifier
1023194404
Registry record updated Sep 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107673 Issued in MA
Practice address
664 Main St # a
Amherst, MA 01002-2439
Phone
(413) 367-9741
Fax
(413) 367-9741
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1028 MA
Clinical Social Worker 1041C0700X 107673 MA Primary

Addresses

Primary practice location

664 Main St # a
Amherst, MA 01002-2439

Mailing address

664 Main St # a
Amherst, MA 01002-2439
Phone (413) 367-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1028MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1023194404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 MAIN ST # A",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022439",
            "telephone_number": "413-367-9741",
            "fax_number": "413-367-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 MAIN ST # A",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022439",
            "telephone_number": "413-367-9741",
            "fax_number": "413-367-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSY",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "LICSW, LADC-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "1028",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.